Individual
DR. ROBERT TANNER OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
272 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4643
(864) 583-4962
(864) 583-6333
Mailing address
110 VILLA RD, GREENVILLE, SC 29615-3010
(864) 282-1935
(864) 751-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9181
SC
Other
Enumeration date
07/05/2018
Last updated
09/25/2022
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